Winners in this market must have systems that are innovative, highly configurable and easily implemented to support rapid individual and group product design and marketing; sales, enrollment and billing; and proactive care collaboration between members, providers, purchasers and payers. Such systems must allow health plans to act with speed and agility to maximize the market opportunity while minimizing the risk of a demanding population and complex individual and commercial contracting and compliance requirements.
Create a Highly Intelligent and Effective Organization
ikaEnterprise automates all key processes in the employer-sponsored business cycle, combining business intelligence and transactional systems for sales automation, core claims adjudication, care management and proactive quality measurement and reporting with self-service portals for sales, administrative, employer, member and provider use. The result is an end-to-end, fully Web-deployed solution for process automation and intelligence management.
Using our agile, modular technology, payers can create a single intelligent ecosystem — comprising health plan staff, members, providers and brokers — that feeds on the same real-time information and fluidly responds in a way that benefits the ecosystem as a whole.
Build Your Own Solution
ikaEnterprise modules can be implemented one at a time or all at once, helping health plans better manage IT expenses and develop their confidence in ikaSystems as a technology partner while delivering increasing value. With ikaEnterprise, you can innovate at your own pace and create your ideal solution.
For the employer-sponsored market, ikaEnterprise offers solutions in the following areas:
Sales
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ikaSales is a comprehensive suite of integrated marketing and sales force automation tools that also encompasses electronic billing and commission payment.
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Portals
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ikaPortals provide self-service capabilities for sales, members, providers and health plan administrative staff.
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Claims
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The ikaClaims solution suite empowers health plans to turbo-charge all of their claims administration activities or to extend their existing IT investments by adding on high-performance functionality.
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Medicare
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ikaMedicare solutions automate the complexity of CMS data exchanges, delivering greater accuracy and speed to member enrollment, member/payment reconciliation, diagnostic reporting and care coordination.
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Medical Management
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ikaMM's integrated medical intelligence and management solutions proactively measure and act to improve quality, utilization, satisfaction and regulatory reporting.
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